Medicaid expansion and treatment for opioid use disorders in Oregon: an interrupted time-series analysis.
CONCLUSION: The number of Medicaid recipients with an opioid use disorder who received psychosocial and pharmacological services increased substantially following Oregon's Medicaid expansion in 2014. There was a decline, however, in the proportion of individuals with an opioid use disorder receiving care in opioid treatment programs. PMID: 31416475 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - August 15, 2019 Category: Addiction Authors: McCarty D, Gu Y, McIlveen JW, Lind BK Tags: Addict Sci Clin Pract Source Type: research

Does an adapted Dialectical Behaviour Therapy skills training programme result in positive outcomes for participants with a dual diagnosis? A mixed methods study.
Abstract BACKGROUND: Treating severe emotional dysregulation and co-occurring substance misuse is challenging. Dialectical behaviour therapy (DBT) is a comprehensive and evidence-based treatment for borderline personality disorder (BPD). It has been hypothesised that the skills training, which is a facet of the full DBT programme, might be effective for people with severe emotional dysregulation and other co-occurring conditions, but who do not meet the criteria for BPD. However, there is limited research on standalone DBT skills training for people with substance misuse and emotional dysregulation. METHODS: ...
Source: Addiction Science and Clinical Practice - August 15, 2019 Category: Addiction Authors: Flynn D, Joyce M, Spillane A, Wrigley C, Corcoran P, Hayes A, Flynn M, Wyse D, Corkery B, Mooney B Tags: Addict Sci Clin Pract Source Type: research

Rural access to MAT in Pennsylvania (RAMP): a hybrid implementation study protocol for medication assisted treatment adoption among rural primary care providers.
DISCUSSION: There is an urgent need in the US to expand access to high quality, evidence-based OUD treatment-particularly in rural areas where capacity is limited for service delivery in order to improve patient health and protect lives. Importantly, this project leverages multiple partners to implement a theory- and practice-driven model of care for OUD. Results of this study will provide needed evidence in the field for appropriate methods for implementing MAT among a large number of rural primary care providers. PMID: 31366408 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - August 1, 2019 Category: Addiction Authors: Cochran G, Cole ES, Warwick J, Donohue JM, Gordon AJ, Gellad WF, Bear T, Kelley D, DiDomenico E, Pringle J Tags: Addict Sci Clin Pract Source Type: research

Correction to: Emergency department screening and  interventions for substance use disorders.
Correction to: Emergency department screening and interventions for substance use disorders. Addict Sci Clin Pract. 2019 Jul 16;14(1):26 Authors: Hawk K, D'Onofrio G Abstract In the version of this article that was originally published [1], some information in the "Background" section was erroneously omitted. PMID: 31311584 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 16, 2019 Category: Addiction Authors: Hawk K, D'Onofrio G Tags: Addict Sci Clin Pract Source Type: research

Implementing alcohol use disorder pharmacotherapy in primary care settings: a qualitative analysis of provider-identified barriers and impact on implementation outcomes.
CONCLUSIONS: CFIR constructs were useful for identifying pre-implementation barriers that informed refinements to the implementation intervention. The number and type of pre-implementation barriers identified did not demonstrate a clear relationship to the degree to which sites were able to improve AUD pharmacotherapy prescribing rate. Site-level implementation process factors such as leadership support and provider turn-over likely also interacted with pre-implementation barriers to drive implementation outcomes. PMID: 31291996 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 10, 2019 Category: Addiction Authors: Hagedorn HJ, Wisdom JP, Gerould H, Pinsker E, Brown R, Dawes M, Dieperink E, Myrick DH, Oliva EM, Wagner TH, Harris AHS Tags: Addict Sci Clin Pract Source Type: research

Factors associated with willingness to wear an electronic overdose detection device.
CONCLUSIONS: A high level of willingness to wear an overdose detection device was observed in this setting and a range of factors associated with overdose were positively associated with willingness. Since some factors, such as homelessness may be a barrier, further research is needed to investigate explanations for unwillingness and to evaluate real world acceptability of a wearable overdose detection devices as this technology becomes available. PMID: 31269963 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 3, 2019 Category: Addiction Authors: Ahamad K, Dong H, Johnson C, Hyashi K, DeBeck K, Milloy MJ, Wood E Tags: Addict Sci Clin Pract Source Type: research

Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach.
CONCLUSIONS: The combination of AUDIT-1m and AUDIT-2m may offer advantages as a short screening tool, over AUDIT-3mV, in groups where intermittent and high per occasion drinking is common. As an alternative to the full Finnish method, the quantity consumed on the last two occasions and timing of the last four occasions may provide a practical short screening tool. PMID: 31256762 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 1, 2019 Category: Addiction Authors: Lee KSK, Conigrave JH, Wilson S, Perry J, Callinan S, Room R, Chikritzhs TN, Slade T, Hayman N, Leggat G, Conigrave KM Tags: Addict Sci Clin Pract Source Type: research

HIV care provider perceptions and approaches to managing unhealthy alcohol use in primary HIV care settings: a qualitative study.
CONCLUSIONS: Results from our study suggest salient differences in provider approaches to the assessment and management of unhealthy alcohol use in HIV primary care settings. Implementation of care for unhealthy alcohol use in these settings may be facilitated through use of clinically useful, validated alcohol use assessments and use of evidence-based recommendations of alcohol use/non-use among PLWH. Training in brief intervention techniques for alcohol reduction may increase provider confidence and support in the management of unhealthy alcohol use among PLWH. PMID: 31174601 [PubMed - in process] (Source: Addiction...
Source: Addiction Science and Clinical Practice - June 7, 2019 Category: Addiction Authors: Chichetto NE, Mannes ZL, Allen MK, Cook RL, Ennis N Tags: Addict Sci Clin Pract Source Type: research

Low barrier buprenorphine treatment for persons experiencing homelessness and injecting heroin in San Francisco.
CONCLUSIONS: This program engaged and retained a subset of PEH with OUD in care and on buprenorphine over 12 months. While uninterrupted treatment and abstinence are reasonable outcomes for conventional treatment programs, intermittent treatment with buprenorphine and decreased opioid use were more common in this pilot and may confer important reductions in opioid and injection-related harms. PMID: 31060600 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 6, 2019 Category: Addiction Authors: Carter J, Zevin B, Lum PJ Tags: Addict Sci Clin Pract Source Type: research

Primary care engagement is associated with increased pharmacotherapy prescribing for alcohol use disorder (AUD).
CONCLUSIONS: The percentage of AUD patients prescribed AUD pharmacotherapy was low; however, primary care engagement was associated with a higher, but modest, probability of receiving a prescription. Efforts to increase primary care engagement among patients with AUD may translate into increased AUD pharmacotherapy prescribing; however, strategies to increase prescribing across health care settings are needed. PMID: 31039820 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 1, 2019 Category: Addiction Authors: Joudrey PJ, Kladney M, Cunningham CO, Bachhuber MA Tags: Addict Sci Clin Pract Source Type: research

Buprenorphine unobserved "home" induction: a survey of Ontario's addiction physicians.
CONCLUSIONS: Ontario addiction physicians largely report following the traditional method of bringing in patients for observed in-office buprenorphine induction: they expressed fear of precipitated withdrawal, diversion, and going against clinical guidelines. The hesitance in using unobserved induction may explain, in part, Ontario's reliance on methadone. PMID: 31039821 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 1, 2019 Category: Addiction Authors: Srivastava A, Kahan M, Leece P, McAndrew A Tags: Addict Sci Clin Pract Source Type: research

Asking about the last four drinking occasions on a tablet computer as a way to record alcohol consumption in Aboriginal and Torres Strait Islander Australians: a validation.
CONCLUSIONS: The Finnish method, as delivered by the App, offers an innovative way to collect survey data on alcohol in a population with an intermittent drinking pattern. PMID: 31039824 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 1, 2019 Category: Addiction Authors: Lee KSK, Conigrave JH, Callinan S, Wilson S, Room R, Perry J, Slade T, Chikritzhs TN, Hayman N, Weatherall T, Leggat G, Gray D, Conigrave KM Tags: Addict Sci Clin Pract Source Type: research

A conceptual model for understanding post-release opioid-related overdose risk.
Abstract Post-release opioid-related overdose mortality is the leading cause of death among people released from jails or prisons (PRJP). Informed by the proximate determinants framework, this paper presents the Post-Release Opioid-Related Overdose Risk Model. It explores the underlying, intermediate, proximate and biological determinants which contribute to risk of post-release opioid-related overdose mortality. PRJP share the underlying exposure of incarceration and the increased prevalence of several moderators (chronic pain, HIV infection, trauma, race, and suicidality) of the risk of opioid-related overdose. ...
Source: Addiction Science and Clinical Practice - April 15, 2019 Category: Addiction Authors: Joudrey PJ, Khan MR, Wang EA, Scheidell JD, Edelman EJ, McInnes DK, Fox AD Tags: Addict Sci Clin Pract Source Type: research

Intervention for alcohol use disorders at an HIV care clinic in Harare: a pilot and feasibility study.
The objectives of the study were to pilot the outcome assessments to be used in the trial proper, assess the feasibility of delivery of a brief MI/CBT intervention compared to an WHO mhGAP intervention for problematic alcohol use in PLWH in Zimbabwe, and pilot the effectiveness (on alcohol use, functionality and CD4 count) of these interventions at 3 months in a randomised controlled trial design. METHODS: An intervention for HIV infected patients with problematic alcohol use, developed through adaptation of existing evidence based psychological treatments, was assessed for its feasibility at a tertiary HIV care ...
Source: Addiction Science and Clinical Practice - April 5, 2019 Category: Addiction Authors: Madhombiro M, Dube B, Dube M, Zunza M, Chibanda D, Rusakaniko S, Seedat S Tags: Addict Sci Clin Pract Source Type: research

"They didn't give up on me": a women's transitions clinic from the perspective of re-entering women.
CONCLUSIONS: Our findings highlight the potential of a program for re-entering women, including those with substance use disorders to strengthen their abilities to navigate complex healthcare and societal systems. WISH-TC helped women feel supported, motivated, and competent to address their substance use, physical, and mental health conditions. PMID: 30935408 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - April 2, 2019 Category: Addiction Authors: Thomas K, Wilson JL, Bedell P, Morse DS Tags: Addict Sci Clin Pract Source Type: research

Increased demand for amphetamine treatment in rural Australia.
CONCLUSION: Significant changes over time in the age, sex and Indigenous status of people receiving treatment for amphetamine as the principal drug of concern requires service delivery to match demand from younger people, particularly women; and Indigenous people. The needs and preferences for treatment of younger women who use amphetamine will be important factors in treatment planning service providers who are more used to providing treatment for young men who use cannabis and older men who use alcohol. Further research on women's experiences in treatment and outcomes would be useful for informing treatment practices. ...
Source: Addiction Science and Clinical Practice - April 1, 2019 Category: Addiction Authors: Allan J, Ip RHL, Kemp M, Snowdon N Tags: Addict Sci Clin Pract Source Type: research

Provider and patient perspectives on barriers to buprenorphine adherence and the acceptability of video directly observed therapy to enhance adherence.
CONCLUSIONS: Findings suggest potential arenas for enhancing buprenorphine adherence, although structural barriers will likely be most challenging to ameliorate. Providers as well as patients indicated mixed attitudes toward VDOT, suggesting it would need to be thoughtfully implemented. PMID: 30867068 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 13, 2019 Category: Addiction Authors: Godersky ME, Saxon AJ, Merrill JO, Samet JH, Simoni JM, Tsui JI Tags: Addict Sci Clin Pract Source Type: research

Identification and management of alcohol use and illicit substance use in outpatient psychiatric clinics in Sweden: a national survey of clinic directors and staff.
CONCLUSIONS: Most clinic directors reported having clear guidelines for staff to screen for alcohol use and illicit substance use, but fewer staff members than expected indicated that these guidelines were adhered to. Providing training about substance use disorders for staff may increase use of screening for alcohol use, and psychosis clinics may need to improve their screening routines. PMID: 30841916 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 6, 2019 Category: Addiction Authors: Sundström C, Petersén E, Sinadinovic K, Gustafsson P, Berman AH Tags: Addict Sci Clin Pract Source Type: research

Utilization of addiction treatment among U.S. adults with history of incarceration and substance use disorders.
CONCLUSIONS: Many U.S. adults with SUDs have histories of incarceration but only a minority use any SUD treatment. Public health approaches that increase access and incentives to engage in and complete SUD treatment may help resolve problems of both incarceration and SUDs in the population. PMID: 30836991 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 5, 2019 Category: Addiction Authors: Tsai J, Gu X Tags: Addict Sci Clin Pract Source Type: research

Linking women experiencing incarceration to community-based HIV pre-exposure prophylaxis care: protocol of a pilot trial.
This study will develop and evaluate a psychosocial intervention (MI-NAV) to promote PrEP uptake and facilitate linkage to community-based PrEP care among women at-risk for HIV. It is expected that, as a result of this project, the feasibility, acceptability, and preliminary efficacy of MI-NAV will be determined. If found to be efficacious, this intervention has the potential to reduce HIV acquisition in a high-need, underserved community. Clinical trial registration NCT03281343. PMID: 30832717 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 4, 2019 Category: Addiction Authors: Ramsey SE, Ames EG, Brinkley-Rubinstein L, Teitelman AM, Clarke J, Kaplan C Tags: Addict Sci Clin Pract Source Type: research

Study protocol for a pragmatic trial of the Consult for Addiction Treatment and Care in Hospitals (CATCH) model for engaging patients in opioid use disorder treatment.
This study will provide the first known rigorous evaluation of an addiction consult model in a large multi-site trial and promises to generate knowledge that can rapidly transform practice and inform the potential for widespread dissemination of these services. TRIAL REGISTRATION: NCT03611335. PMID: 30777122 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - February 19, 2019 Category: Addiction Authors: McNeely J, Troxel AB, Kunins HV, Shelley D, Lee JD, Walley A, Weinstein ZM, Billings J, Davis NJ, Marcello RK, Schackman BR, Barron C, Bergmann L Tags: Addict Sci Clin Pract Source Type: research

Illicit substance use after release from prison among formerly incarcerated primary care patients: a cross-sectional study.
CONCLUSIONS: Among individuals seeking medical care after release from incarceration, self-reported substance use was lower than previously reported estimates of post-incarceration substance use. Known risk factors, such as male gender and having a drug use disorder, were associated with illicit substance use, as were novel risk factors, such as less supervised housing. Though illicit substance use post-incarceration can carry severe consequences, treatment and surveillance interventions should be targeted toward individuals with greatest risk. PMID: 30782211 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - February 19, 2019 Category: Addiction Authors: Chamberlain A, Nyamu S, Aminawung J, Wang EA, Shavit S, Fox AD Tags: Addict Sci Clin Pract Source Type: research

Strategies to increase implementation of pharmacotherapy for alcohol use disorders: a structured review of care delivery and implementation interventions.
CONCLUSIONS: Our review did not reveal strategies most effective for implementing AUD medications. Interventions designed to overcome identified barriers may have missed the mark, or differences in the intensity or targets of strategies may matter more than differences in strategies. Further research is needed to understand effective implementation methods and to better understand patient-level perspective, preferences and barriers to receipt of medications. PMID: 30744686 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - February 12, 2019 Category: Addiction Authors: Williams EC, Matson TE, Harris AHS Tags: Addict Sci Clin Pract Source Type: research

An evaluation of the maintenance to abstinence (MTA) program in achieving abstinence in opioid users and improving mental health and quality of life.
This study aimed to determine the depression, anxiety, stress and quality of life amongst maintenance to abstinence (MTA) program residents. Secondary study aims were to assess the personal characteristics of MTA clients, addiction and risk taking behaviours, factors associated with program completion, as well as to assess the reliable change in participants' mental health and quality of life on exit. METHODS: Retrospective analysis of routinely collected data (2013-2017) from surveys completed by 100 clients. Outcome measures were: Depression, Anxiety, Stress Score (DASS-42), World Health Organisation Quality of Life...
Source: Addiction Science and Clinical Practice - February 4, 2019 Category: Addiction Authors: Southey MM, Rees T, Rolfe M, Pit S Tags: Addict Sci Clin Pract Source Type: research

Patient and provider perspectives on implementation barriers and facilitators of an integrated opioid treatment and HIV care intervention.
CONCLUSIONS: Understanding the contextual factors that influence implementation is critical to the success of interventions that seek to integrate HIV services into existing programs for key populations such as PWUD. Approximately 4 months after IMAT implementation, the OTP clinic adopted a 'test-and-treat' model for HIV-positive PWUD, which significantly impacted clinic workload as well as the care context. In this study we highlight the importance of intervention characteristics and resources, as key facilitators and barriers to implementation, that should be actively integrated into intervention protocols to increa...
Source: Addiction Science and Clinical Practice - January 28, 2019 Category: Addiction Authors: Cooke A, Saleem H, Hassan S, Mushi D, Mbwambo J, Lambdin B Tags: Addict Sci Clin Pract Source Type: research

Tobacco use among non-elderly adults with and without criminal justice involvement in the past year: United States, 2008-2016.
CONCLUSIONS: Novel programs and tobacco control policies are needed to address persistently high rates of tobacco use and reduce cardiovascular morbidity and mortality among individuals with a history of criminal justice involvement. PMID: 30635028 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - January 11, 2019 Category: Addiction Authors: Winkelman TNA, Vickery KD, Busch AM Tags: Addict Sci Clin Pract Source Type: research

Receipt of pharmacotherapy for alcohol use disorder by justice-involved women in the Veterans Health Administration.
CONCLUSIONS: While women involved in the criminal justice system face many barriers to accessing health and social services, women justice-involved veterans had higher odds of receiving pharmacotherapy for AUD at VHA facilities compared to women veterans with no justice involvement. Legal mandates and supportive programming directed towards veterans in the criminal justice system may explain the higher rate of receipt of pharmacotherapy observed among justice-involved women veterans. Women veterans who are homeless may also have more opportunities to access and use pharmacotherapy for AUD compared to their housed counterpa...
Source: Addiction Science and Clinical Practice - January 3, 2019 Category: Addiction Authors: Taylor E, Timko C, Harris AHS, Yu M, Finlay AK Tags: Addict Sci Clin Pract Source Type: research

Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach.
This study uses a phased cluster randomized mixed method design to test nurse-led implementation of an SBIRT toolkit on one medical-surgical unit at 14 acute care hospitals (critical access, community and academic health centers). Medical surgical units will be randomly assigned to implement the SBIRT toolkit (engagement and communication, assessment, planning, training, and evaluation tools) or a wait-list usual care control group that begins implementation 6 months later. Primary endpoints are documentation of SBIRT delivery in randomly selected electronic medical records at baseline, 6 months and 12 months after gr...
Source: Addiction Science and Clinical Practice - December 27, 2018 Category: Addiction Authors: Newhouse R, Janney M, Gilbert A, Agley J, Bakoyannis G, Ferren M, Mullins CD, Johantgen M, Schwindt R, Thoele K Tags: Addict Sci Clin Pract Source Type: research

Frequency and associated risk factors of non-fatal overdose reported by pregnant women with opioid use disorder.
CONCLUSIONS: In this sample, past year non-fatal overdose was common, younger age was a risk factor, and most participants had received a naloxone kit. Further work is needed to understand whether younger age is a risk factor in the general population of pregnant women with opioid use disorder and to identify other potential risk factors for overdose in this population. PMID: 30547833 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - December 14, 2018 Category: Addiction Authors: Bagley SM, Cabral H, Saia K, Brown A, Lloyd-Travaglini C, Walley AY, Rose-Jacobs R Tags: Addict Sci Clin Pract Source Type: research

The SUMMIT ambulatory-ICU primary care model for medically and socially complex patients in an urban federally qualified health center: study design and rationale.
We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research. METHODS/DESIGN: Participants are patients at a Federally Qualified Health Center in Portland, Oregon that serves patients experiencing homelessness or who have substance use disorders. Participants meet at least one of the following criteria:> 1 hospitalization over past 6 months; at least one medical co-morbidity including uncontr...
Source: Addiction Science and Clinical Practice - December 14, 2018 Category: Addiction Authors: Chan B, Edwards ST, Devoe M, Gil R, Mitchell M, Englander H, Nicolaidis C, Kansagara D, Saha S, Korthuis PT Tags: Addict Sci Clin Pract Source Type: research

Advancing pharmacological treatments for opioid use disorder (ADaPT-OUD): protocol for testing a novel strategy to improve implementation of medication-assisted treatment for veterans with opioid use disorders in low-performing facilities.
Abstract BACKGROUND: In the US, emergency room visits and overdoses related to prescription opioids have soared and the rates of illicit opioid use, including heroin and fentanyl, are increasing. Opioid use disorder (OUD) is associated with higher morbidity and mortality, higher HIV and HCV infection rates, and criminal behavior. Opioid agonist therapy (OAT; methadone and buprenorphine) is proven to be effective in treating OUD and decreasing its negative consequences. While the efficacy of OAT has been established, too few providers prescribe OAT to patients with OUD due to patient, provider, or system factors. W...
Source: Addiction Science and Clinical Practice - December 13, 2018 Category: Addiction Authors: Hagedorn H, Kenny M, Gordon AJ, Ackland PE, Noorbaloochi S, Yu W, Harris AHS Tags: Addict Sci Clin Pract Source Type: research

Alcohol misuse and outpatient follow-up after hospital discharge: a retrospective cohort study.
Abstract PURPOSE: Patients with alcohol misuse are less likely to receive preventive health services but more likely to utilize emergency health services. However, the association between alcohol misuse and outpatient follow-up after hospitalization is unknown and may depend on whether a patient experiences a critical illness. We sought to determine whether alcohol misuse was associated with lower rates of outpatient follow-up after hospital discharge and whether the magnitude of this association differed in patients who experienced a critical illness. MATERIALS AND METHODS: This was a retrospective cohort st...
Source: Addiction Science and Clinical Practice - December 4, 2018 Category: Addiction Authors: Borg B, Douglas IS, Hull M, Keniston A, Moss M, Clark BJ Tags: Addict Sci Clin Pract Source Type: research

Clinician identified barriers to treatment for individuals in Appalachia with opioid use disorder following release from prison: a social ecological approach.
CONCLUSIONS: More rural infrastructure resources as well as additional education for family networks, corrections staff, and the community at large in Appalachia are needed to address barriers to OUD treatment. Future research should examine barriers from the perspective of other key stakeholders (e.g., clients, families of clients) and test interventions to increase access to OUD treatment. PMID: 30509314 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - December 3, 2018 Category: Addiction Authors: Bunting AM, Oser CB, Staton M, Eddens KS, Knudsen H Tags: Addict Sci Clin Pract Source Type: research

Closing the gaps in opioid use disorder research, policy and practice: conference proceedings.
Abstract Drug overdose deaths involving opioids have surged in recent years and the economic cost of the opioid epidemic is estimated to be over $500 billion annually. In the midst of calls for declaring a national emergency, health policy decision makers are considering the best ways to allocate resources to curb the epidemic. On June 9, 2017, 116 invited health researchers, clinicians, policymakers, health system leaders, and other stakeholders met at the University of Pennsylvania to discuss approaches to address the gaps in evidence-based substance use disorder policy and practice, with an emphasis on the opio...
Source: Addiction Science and Clinical Practice - November 13, 2018 Category: Addiction Authors: Miclette MA, Leff JA, Cuan I, Samet JH, Saloner B, Mendell G, Bao Y, Ashburn MA, Bachhuber MA, Schackman BR, Polsky DE, Meisel ZF Tags: Addict Sci Clin Pract Source Type: research

MySafeRx: a mobile technology platform integrating motivational coaching, adherence monitoring, and electronic pill dispensing for enhancing buprenorphine/naloxone adherence during opioid use disorder treatment: a pilot study.
CONCLUSION: The MySafeRx medication adherence and remote coaching mobile platform is acceptable and can be feasibly implemented in real-world opioid use disorder treatment settings during high-risk periods (i.e., initial stabilization, after illicit opioid lapse), resulting in reduced illicit opioid use; however, the effect did not last after intervention completion, suggesting longer duration or extended taper of program may be needed. ClinicalTrials.Gov NCT02942199 10/24/16 https://clinicaltrials.gov/ct2/show/NCT02942199. PMID: 30249279 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - September 24, 2018 Category: Addiction Authors: Schuman-Olivier Z, Borodovsky JT, Steinkamp J, Munir Q, Butler K, Greene MA, Goldblatt J, Xie HY, Marsch LA Tags: Addict Sci Clin Pract Source Type: research

Barriers to addiction treatment among formerly incarcerated adults with substance use disorders.
CONCLUSIONS: In this small sample of adults with a substance use disorder recently released from jail, barriers to treatment were frequently endorsed. Future research on larger samples is needed to understand barriers to treatment specific to justice-involved populations. Clinicians may consider using open-ended questions to explore and address barriers to addiction treatment among individuals with current or recent justice involvement. PMID: 30126452 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - August 21, 2018 Category: Addiction Authors: Owens MD, Chen JA, Simpson TL, Timko C, Williams EC Tags: Addict Sci Clin Pract Source Type: research

Emergency department screening and interventions for substance use disorders.
Abstract The emergency department (ED) has long been recognized as providing critical access to the health care system for many, yet only in the past few decades has the ED visit been recognized as an opportunity to identify and link patients to care for substance use disorders (SUDs). This review explores the evidence for ED-based screening, psychosocial and pharmacological interventions, and linkage to treatment for the spectrum of SUDs including high risk alcohol use and alcohol, opioid, tobacco and other SUDs. Despite knowledge gaps, methodological challenges and some inconsistency across interventions studied...
Source: Addiction Science and Clinical Practice - August 6, 2018 Category: Addiction Authors: Hawk K, D'Onofrio G Tags: Addict Sci Clin Pract Source Type: research

Insights from individuals successfully recovered from cannabis use disorder: natural versus treatment-assisted recoveries and abstinent versus moderation outcomes.
CONCLUSIONS: These insights from people with lived experience further support previous research that treatment-assisted and natural recoveries are for the most part similar with respect to the recovery process. However, participants, whether or not they had had treatment involvement, recommended the use of treatment and self-help materials to sharpen their focus on the reasons to change and to enhance their commitment to change. At the same time, they saw value in the efforts of individuals to recovery without help. PMID: 30056804 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 30, 2018 Category: Addiction Authors: Hodgins DC, Stea JN Tags: Addict Sci Clin Pract Source Type: research

Prevalence and personal attitudes towards tobacco smoking among Palestinian healthcare professionals: a cross-sectional study.
CONCLUSION: Palestinian healthcare professionals have relatively higher prevalence of tobacco smoking compared to the general population. Urgent national intervention and strict implementation of "No Smoking Law" in health institutions and in public places are needed to root out this negative behavior. PMID: 30053911 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - July 27, 2018 Category: Addiction Authors: Mizher IY, Fawaqa SI, Sweileh WM Tags: Addict Sci Clin Pract Source Type: research

Stigma associated with medication treatment for young adults with opioid use disorder: a case series.
CONCLUSIONS: Opioid-related deaths continue to rise among all age groups, including young adults. Stigma related to medication treatment can be a substantial barrier for many young adult patients but there are concrete steps that providers and communities can take to address this stigma. PMID: 29730987 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - May 7, 2018 Category: Addiction Authors: Hadland SE, Park TW, Bagley SM Tags: Addict Sci Clin Pract Source Type: research

Under one roof: identification, evaluation, and treatment of chronic hepatitis C in addiction care.
We describe here both the need for and process of chronic HCV care under the roof of addiction medicine. PMID: 29690936 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - April 25, 2018 Category: Addiction Authors: Martin SA, Bosse J, Wilson A, Losikoff P, Chiodo L Tags: Addict Sci Clin Pract Source Type: research

Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research.
This article reviews current research evaluating MBIs as a treatment for addiction, with a focus on findings pertaining to clinical outcomes and biobehavioral mechanisms. Studies indicate that MBIs reduce substance misuse and craving by modulating cognitive, affective, and psychophysiological processes integral to self-regulation and reward processing. This integrative review provides the basis for manifold recommendations regarding the next wave of research needed to firmly establish the efficacy of MBIs and elucidate the mechanistic pathways by which these therapies ameliorate addiction. Issues pertaining to MBI treatmen...
Source: Addiction Science and Clinical Practice - April 18, 2018 Category: Addiction Authors: Garland EL, Howard MO Tags: Addict Sci Clin Pract Source Type: research

Barriers and facilitators affecting the implementation of substance use screening in primary care clinics: a qualitative study of patients, providers, and staff.
CONCLUSIONS: Participants expressed support for substance use screening as a valuable part of medical care, and identified individual-level as well as systems-level barriers to its implementation. These findings suggest that screening programs should clearly communicate the goals of screening to patients and proactively counteract stigma, address staff concerns regarding time and workflow, and provide education as well as treatment resources to primary care providers. PMID: 29628018 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - April 9, 2018 Category: Addiction Authors: McNeely J, Kumar PC, Rieckmann T, Sedlander E, Farkas S, Chollak C, Kannry JL, Vega A, Waite EA, Peccoralo LA, Rosenthal RN, McCarty D, Rotrosen J Tags: Addict Sci Clin Pract Source Type: research

Adherence intervention for HIV-infected persons who use drugs: adaptation, open trial, and pilot randomized hybrid type 1 trial protocol.
This study protocol seeks to improve clinical practice by adapting Life Steps for HIV-infected PWUD and adding a brief motivational intervention addressing drug use. This intervention will incorporate educational, motivational, and behavioral skills components specifically aimed at improving adherence and linkage to substance use treatment among HIV-infected PWUD. METHODS: This project will consist of three phases using a mixed-methods approach. In Phase 1, qualitative interviews with HIV-infected PWUD and community providers, coupled with feedback from an expert review panel, will be used to enhance the existing Life...
Source: Addiction Science and Clinical Practice - April 2, 2018 Category: Addiction Authors: Claborn K, Becker S, Operario D, Safren S, Rich JD, Ramsey S Tags: Addict Sci Clin Pract Source Type: research

Evaluation of the effect of methamphetamine on traumatic injury complications and outcomes.
This study investigates the impact of methamphetamine use on trauma patient outcomes. METHODS: This retrospective study analyzed patients between 18 and 55 years old presenting to a single trauma center in San Bernardino County, CA who sustained traumatic injury during the 10-year study period (January 1st, 2005 to December 31st, 2015). Routine serum ethanol levels and urine drug screens (UDS) were completed on all trauma patients. Exclusion criteria included patients with an elevated serum ethanol level (> 0 mg/dL). Those who screened positive on UDS for only methamphetamine and negative for cocai...
Source: Addiction Science and Clinical Practice - March 29, 2018 Category: Addiction Authors: Neeki MM, Dong F, Liang L, Toy J, Carrico B, Jabourian N, Sin A, Hussain F, Brown S, Safdari K, Borger R, Wong D Tags: Addict Sci Clin Pract Source Type: research

Standardised alcohol screening in primary health care services targeting Aboriginal and Torres Strait Islander peoples in Australia.
CONCLUSIONS: Detection of unhealthy drinking before harms occur is a goal of screening, so AUDIT-C offers advantages over tools like IRIS or CAGE which focus on dependence. AUDIT-C's brevity suits integration with general health screening. Further research is needed on facilitating implementation of systematic alcohol screening into Indigenous primary healthcare. PMID: 29592801 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 29, 2018 Category: Addiction Authors: Islam MM, Oni HT, Lee KSK, Hayman N, Wilson S, Harrison K, Hummerston B, Ivers R, Conigrave KM Tags: Addict Sci Clin Pract Source Type: research

How do people with mood and anxiety disorders perceive and interpret the Drinking Motives Questionnaire? A think-aloud study in a clinical setting.
CONCLUSIONS: Taken together, the results suggest a support for the use of DMQ-R also in the group of psychiatric outpatients. Still, when interpreting the DMQ-R, a certain insecurity of the exactness of answers should be considered. The graphic design should be particularly clear in this group of patients. PMID: 29534735 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 14, 2018 Category: Addiction Authors: Nehlin C, Wennberg M, Öster C Tags: Addict Sci Clin Pract Source Type: research

Substance use and the HIV care continuum: important advances.
PMID: 29530080 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 12, 2018 Category: Addiction Authors: Korthuis PT, Edelman EJ Tags: Addict Sci Clin Pract Source Type: research

Development and differentiability of three brief interventions for risky alcohol use that include varying doses of motivational interviewing.
CONCLUSIONS: The three interventions can be used in future trials to prospectively examine the role MI has in determining BI outcome. Trial registration clinicaltrials.gov NCT02978027, retrospectively registered 11/28/16. PMID: 29482632 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - February 27, 2018 Category: Addiction Authors: Hettema JE, Cockrell SA, Reeves A, Ingersoll KS, Lum PJ, Saitz R, Murray-Krezan CM, Carrejo VA Tags: Addict Sci Clin Pract Source Type: research

Correction to: Testing the effectiveness of a motivational interviewing-based brief intervention for substance use as an adjunct to usual care in community-based AIDS service organizations: study protocol for a multisite randomized controlled trial.
Abstract Upon publication of the original article. PMID: 29467033 [PubMed - in process] (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - February 21, 2018 Category: Addiction Authors: Garner BR, Gotham HJ, Tueller SJ, Ball EL, Kaiser D, Stilen P, Speck K, Vandersloot D, Rieckmann TR, Chaple M, Martin EG, Martino S Tags: Addict Sci Clin Pract Source Type: research